Dynamic intervertebral spacer assembly
An implantable spacer body ( 44 ) configured to be positioned between the spinous process portions of adjacent vertebrae in such a manner that the spinous process of the superior vertebra rests on and is supported on the spacer body. A pair of extension arms ( 54, 56 ) extend from each side of the spacer body and are adapted to be fixed to bone fasteners ( 86 ) which engage a region of the inferior vertebral body in locations other than the spinous process, preferably engaging the pedicle regions of the inferior vertebra. Alternatively, the extension arms can be fixed to spinal rods ( 90, 92 ) that are fastened to multiple vertebrae in a typical spinal rod assembly.
1 ) A device adapted to be inserted between two adjacent vertebrae, a first vertebra being a superior vertebra positioned above a second vertebra being an inferior vertebra, said device comprising
a body portion having a first side and a second side;
a central portion of said body separating said first and second sides;
a generally concave support surface on said central portion adapted to receive therein and support a portion of said superior vertebra; and
a pair of arms extending from said body portion in generally opposite directions away from said central portion and each being adapted to be fixed to said inferior vertebra.
2 ) A device according to claim 1 , further comprising
a bone fastener adapter on a distal end of each arm; and
a bone fastener associated with each bone fastener adapter, each said bone fastener being adapted to be fixed to said inferior vertebra.
3 ) A device according to claim 1 , wherein
said generally concave support surface is adapted to receive therein and support a lower portion of the superior process of said first vertebra.
4 ) A device according to claim 3 , wherein
each said arm is adapted to be fixed to a pedicle region of said inferior vertebra.
5 ) An assembly for implanting between two adjacent vertebrae, a first vertebra being a superior vertebra positioned above a second vertebra being an inferior vertebra, said assembly comprising
a body portion having a first side and a second side;
a central portion of said body separating said first and second sides;
a generally concave support surface on said central portion adapted to received therein and support the spinous process portion of said superior vertebra;
a pair of arms extending from said body portion in generally opposite directions away from said central portion;
a pair of bone fastener adapters, each respectively attached to a distal end of one of said arms;
a pair of bone fasteners, each respectively attached to one of said bone fastener adapters and each respectively fastened to a portion of said inferior vertebra.
6 ) An assembly according to claim 5 , wherein
each said portion of said inferior vertebra is a pedicle region of said inferior vertebra.
7 ) An assembly for implanting between two adjacent vertebrae, a first vertebra being a superior vertebra positioned above a second vertebra being an inferior vertebra, said assembly comprising
a body portion having a first side and a second side;
a central portion of said body separating said first and second sides;
a generally concave support surface on said central portion adapted to receive therein and support the spinous process portion of said superior vertebra;
a pair of arms extending from said body portion in generally opposite directions away from said central portion;
a pair of rod adapters, each respectively attached to a distal end of one of said arms;
a pair of rods generally parallel to each other and generally aligned with a vertical axis extending through said first vertebra and said second vertebra, each said rod being attached, respectively, to one of said rod adapters; and
a pair of bone fasteners, each respectively attached to one of said rods and each respectively fastened to a portion of said inferior vertebra.
8 ) An assembly according to claim 7 , wherein
each said portion of said inferior vertebra is a pedicle region of said inferior vertebra.
9 ) A method of installing an assembly between two adjacent vertebrae, a first vertebra being a superior vertebra positioned above a second vertebra being an inferior vertebra, said method comprising
installing a body beneath and in contact with a lower surface of the spinous process of said superior vertebra; and
attaching said body to the pedicle region of said inferior vertebra.
10 ) A method according to claim 9 , wherein
said body is attached to said pedicle region of said inferior vertebra by at least one pedicle screw.
11 ) A method according to claim 9 , wherein
said body comprises a concave surface and said spinous process of said superior vertebra is received in contact with said concave surface.
12 ) A method according to claim 9 , further comprising
providing a pair of arms extending from said body;
attaching a bone fastener to each arm; and
fastening each bone fastener to a pedicle region of said inferior vertebra.